Individual provider Active NPI

Shilonda Renay Harris, CRNA

  • Certified Registered Nurse Anesthetist
  • Williamsport, PA
National Provider Identifier
1598054405
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN624498 Issued in PA
Practice address
700 High St
Williamsport, PA 17701-3198
Phone
(570) 321-2385
Fax
(570) 321-2479
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN624498 PA Primary

Addresses

Primary practice location

700 High St
Williamsport, PA 17701-3198

Mailing address

1201 Grampian Blvd
Suite 1K
Williamsport, PA 17701-1900

Other identifiers 1

IdentifierTypeStateIssuer
1025758890001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141206000345 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032394507 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Anesthesia Group IncGroup PAC ID 3870901929, 11 clinicians
Murrieta Anesthesia CorporationGroup PAC ID 7911033808, 4 clinicians
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

31625 De Portola Rd
Suite 101
Temecula, CA 92592-2770
Phone (951) 501-4200

41670 Ivy St B
Murrieta, CA 92562-9433
Phone (951) 600-7702

521 E Elder St
Suite 104
Fallbrook, CA 92028-3082
Phone (760) 728-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Weiner MD Inc CurrentSince Aug 19, 2014 Accepting new patients
Temecula Ca Endoscopy ASC LP CurrentSince Dec 16, 2024 Accepting new patients
Anesthesia Provider Group Inc CurrentSince Dec 1, 2018 Accepting new patients
Temecula Ca Endoscopy ASC LP Current Accepting new patients
Trinity Anesthesia Group Inc CurrentSince Aug 19, 2024 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 24, 2021 Accepting new patients
United Medical Doctors CurrentSince Jan 16, 2025 Accepting new patients
Temecula Ca United Surgery Center LP CurrentSince Dec 16, 2024 Accepting new patients
Temecula Ca United Surgery Center, LP CurrentSince Dec 16, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Desert Cities Anesthesia Professionals Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2017 Accepting new patients
United Medical Doctors Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2025 Accepting new patients
Murrieta Anesthesia Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2020 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2017 Accepting new patients
Temecula Valley Pain Medical Group Past Accepting new patients
Stellar Surgical Specialties, Inc. PastSince Dec 1, 2018 Accepting new patients

Locations

900 E Washington St
Ste 155
Colton, CA 92324
Phone (909) 370-2190

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

40740 California Oaks Rd
Murrieta, CA 92562
Phone (951) 304-2200

25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805

41670 Ivy St
Ste B
Murrieta, CA 92562
Phone (951) 600-7702

41670 Ivy St
Ste E
Murrieta, CA 92562

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

4682 Ontario Mills Pkwy
Ontario, CA 91764
Phone (909) 204-3540

1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600

224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451

1035 S Fair Oaks Ave
Ste 101
Pasadena, CA 91105
Phone (626) 403-6488

69780 Stellar Dr
Ste B
Rancho Mirage, CA 92270
Phone (760) 424-3399

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

27412 Enterprise Cir W
Ste 102
Temecula, CA 92590
Phone (951) 694-6367

31625 De Portola Rd
Ste 101
Temecula, CA 92592
Phone (951) 501-4200

31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540

1315 Las Tablas Rd
Templeton, CA 93465
Phone (805) 239-4900

5810 Ralston St
Ste 101
Ventura, CA 93003
Phone (805) 650-5500

12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377

2023 W Vista Way
Ste C
Vista, CA 92083
Phone (760) 732-0522

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1598054405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 1K",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013198",
            "telephone_number": "570-321-2385",
            "fax_number": "570-321-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHILONDA",
        "middle_name": "RENAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN624498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025758890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.